Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 105
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
United States Navy |
Organization |
667 Orangewood Dr Virginia Beach, VA |
|
|
IDC Daniel Kenneth Gibson |
Individual |
1875 Intercove Rd Bldg 3813 Virginia Beach, VA |
|
|
IDC Omar Antonio Pescador |
Individual |
Seal Team 10 Medical Department Bldg 3808 Virginia Beach, VA |
|
|
SOIDC Leo Alexander Perez |
Individual |
2321 Rookery Way Virginia Beach, VA |
|
|
IDC Peter Michael Roche |
Individual |
1355 Helicopter Rd Virginia Beach, VA |
|
|
IDC Andrew Lavergne |
Individual |
1900 Gator Blvd Bldg 3808 Virginia Beach, VA |
|
|
IDC Warren Montesvelez |
Individual |
2220 Schofield Rd Virginia Beach, VA |
|
|
MR. IDC Elliott Spencer Keck |
Individual |
1550 Tomcat Blvd Ste 150 Nas Oceana, Bhc Virginia Beach, VA |
|
|
IDC Andrew French |
Individual |
1355 Helicopter Rd Virginia Beach, VA |
|
|
Jordan William Ward |
Individual |
1636 Regulus Ave Attn: Noom Virginia Beach, VA |
|
|
MR. IDC William Keith Dow |
Individual |
1636 Regulus Ave Virginia Beach, VA |
|
|
MS. IDC Melanie Marie Graybill |
Individual |
956 Timber Valley Way Apt 114 Virginia Beach, VA |
|
|
IDC Elliott Bennett Pippen |
Individual |
1804 Gravenhurst Dr Virginia Beach, VA |
|
|
MR. HMC Javier A Cortes |
Individual |
1840 Cove Rd Bldg 3853 Virginia Beach, VA |
|
|
Desmond Lafleur |
Individual |
865 Westminster Ln Virginia Beach, VA |
|
|
IDC Raymond Suhr |
Individual |
1636 Regulus Ave Virginia Beach, VA |
|
|
Christopher Lee Crumpler |
Individual |
1885 Terrier Ave Ste 100 Virginia Beach, VA |
|
|
IDC Marina S Letourneau |
Individual |
1650 Gator Blvd Bldg 3509 Comfirstncd Virginia Beach, VA |
|
|
IDC Caleb J. Drake |
Individual |
1355 Helicopter Rd Bldg 3812 Virginia Beach, VA |
|
|
MR. IDC Russell Aaron Warlick |
Individual |
2520 Midway Rd Ste 600 Virginia Beach, VA |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 1710I1002X |
| Specialization | Independent Duty Corpsman |
| Display Name | Independent Duty Corpsman |
| Taxonomy Group | Other Service Providers |
| Taxonomy Classification | Military Health Care Provider |
| Definition | A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Effective Date | September 30, 2009 |